Two ways to provide records
Records from a private doctor or hospital may support your disability claim. You can obtain copies and submit them with your claim, or authorize VA to try to obtain them for you.
Two forms work together
VA Form 21-4142 authorizes disclosure of medical information to VA. VA Form 21-4142a identifies the medical providers and treatment details, including addresses and dates. When using VA’s request process, follow the current instructions and complete both forms.
Keep track of the request
Check provider details carefully, keep copies of your submissions, and respond to VA’s requests. An authorization is permission to request records; it does not confirm that VA has received them or guarantee a claim outcome. Use the official submission instructions below.